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 Posted 11/8/2013 8:11:13 AM
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I am 46 and about 12 days ago on a Sunday while at work, I had most all of the symptoms of the flu except nausea. The symptoms came on suddenly. My joints were aching, I had a fever, I felt weak and run down, slight chills, etc..  I also noticed that I was urinating frequently and that my urine stream kept getting weaker and weaker. There was also a burning sensation in the end of my penis when urinating. 

Sunday night, I was up all night just urinating a little bit each time. By Monday I realized I needed to see a doctor. I went to an Urgent-care and filled out a symptom form. When the doctor came in he told me it was likely Prostatitis, and that he should examine my prostate. The doctor examined and pushed on my prostate and it was very painful. The doctor also said my prostate was big and bulky. I have not had any problems like this before.  

I was given a shot of Rocephin, and prescribed Doxycycline, 100 MG twice per day for two weeks. I was also prescribed Flomax 0.4 MG once per day for one month. It was also recommended that I see a urologist for a follow up. The first two days after seeing the doctor on Monday, my urine stream almost stopped completely. I could still urinate, but only in fairly small dribbles. I had no pain or pressure in my abdomen, but the burning in my penis was worse. I called the doctor and he said that if it did not get better soon, I may need a catheter. Luckily, by Wednesday night, I started urinating better and now, things seem to be back to normal. I am urinating normally and there is no pain when urinating.



Today, I went to a Urologist who examined my prostate and took a urine sample. The examination was not nearly as painful as before, but it was still uncomfortable with some tenderness of the prostate. The urologist seemed very busy and rushed, he mainly looked over the symptom forms I filled out, and examined my prostate, but I did not really have much of a change to talk with him. I asked if everything felt OK, and he said yes, except that the prostate is swollen and tender. I asked if that was due to the infection and he said yes. The urologist also said that prostate infections can take up to six months to clear up. The urologist said to finish up the Doxycycline that was prescribed  and then start on Cipro 500 MG twice per day for 30 days. I am going back to the urologist in one month. I would really hate to take antibiotics for six months, that just seems crazy to me. I did not like reading about possible tendon problems from using Cipro (Ciprofloxacin  HCL). 

I asked the urologist about taking things like saw palmetto and flower pollen and he said there is no real science behind it, with some studies showing benefit and some studies showing none. The urologist said I could take saw palmetto and/or flower pollen right now along with the antibiotics if I wanted to.

This was a very unpleasant experience and I want to try to keep it from happening again, but I do not want to go on drugs like Proscar (Finasteride) or flowmax due to sexual side effects I have read about. Also, I just do not like the idea of being on any prescription medication long term, i.e., the rest of my life.

What supplements and foods can I use to try to keep this from coming back in the future ? The two I have read about most are Saw Palmetto and Swedish flower pollen. I was thinking maybe Swedish flower pollen would be the thing to try first because it just seems safer to try than saw palmetto. I guess I think this way because I suspect saw palmetto would have a greater affect on hormones. At iherb, source naturals has a Swedish flower pollen capsule, and Graminex has something called pollenaid which is a flower pollen capsule and prostanex which is flower pollen and saw palmetto. I think the pollenaid used to be called Cernilton, but now it is supposed to be stronger. I think some studies were done on Cernilton.



Here is iherbs link to flower pollen extracts.
http://www.iherb.com/Flower-Pollen-Extract 



There are also prostate formulas like the ones from Jarrow and LEF.



Do you guys think I should start the flower pollen now, or wait until the Cipro and flomax are gone in one month, and I see the urologist again ? I just want this to go away, I do not want to see a urologist on a regular basis, and I do not want to go on prescription medications. I also do not want to take antibiotics for six months or any longer than I need to.



I would appreciate any feedback, suggestions, or experiences.



Thanks,
John


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 Posted 11/8/2013 8:24:57 AM
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Sorry to hear of your ordeal.

Regarding your statement, " I do not want to go on drugs like Proscar (Finasteride) or flowmax," did your doctor suggest that you do this?

Life Extension recommends that you follow your physician's advice.  There is information in the Bacterial Infections section of Life Extension's website http://www.lef.org/protocols/infections/bacterial_infection_01.htm concerning a benefit for tea catechins against prostatitis. 

D Dye


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 Posted 11/8/2013 11:41:43 AM
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The doctor has not suggested I take any drugs like proscar or flowmax on a regular basis yet, I am just worried that he will. I'm worried I will go back in a month and the doctor will say, your prostate is still swollen and we need to put you on something like flomax or proscar. I was just prescribed flomax for one month, I suppose to help with the urination problems I was having.

The doctor gave me a list of foods to avoid, such as, Alcoholic beverages, Caffeine, Citrus fruit and juices, Tomatoes and Tomato juice, Spicy foods, Milk products, artificial sweeteners, and over the counter medications like Excedrin, anacin, Aqua-ban, dristan, dexatrim. Pizza was even on the list, and I'm not giving up pizza for anything. If I avoid all of that stuff I will not be able to eat anything or at least anything I really like.

At this point, I do not know if a bacterial infection caused the prostate to swell, or a swollen prostate casued the bacterial infection. My urine looked OK, so it may not be possible to really tell since the bacteria does not always show up in the urine.

I know that cialis http://www.cialis.com/Pages/home.aspx  is now approved for the signs and symptoms of BPH, so this would not have the negative sexual side effects of things like Proscar or flomax and may even offer a nice boost. However,  I am not having any sexual problems now, so would it be likely that cialis is not ideal or could sexual performance become dependant on it ?  What about possible long term health affects of cialis versus Proscar or flomax ? After looking at the side affects, cialis does not look all that great either. 

Why are prostate infections so hard to cure, 6 months is a long time ? Hopefully, being on Cipro for a month will take care of it.
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 Posted 11/8/2013 12:09:26 PM
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An infection is not the same as BPH, so let's see if the swelling goes down after awhile. 

If you don't have BPH, saw palmetto is good at helping to prevent this condition, as is lycopene which is found in pizza.


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 Posted 11/8/2013 3:45:16 PM
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An infection is not the same as BPH, so let's see if the swelling goes down after awhile.


You are right, I guess I am just worried about all of this. I'm just not sure if BPH caused the infection by restricting urine flow, or if the infection is the main reason the prostate is swollen. In any case I guess the infection would make it larger than it was prior to infection.

A few weeks before the infection, I was taking an antibiotic (Keflex) because I got a few stitches in my finger. I did not really think I needed to take the antibiotic for a small cut, but I took it anyway as recommended by the ER. Is it possible the antibiotic upset the bacteria balance in my system and actually contributed to the prostate infection, or is that just not likely ? I am guessing it is not likely, but it is something that crossed my mind for some reason.

I have been urininating more at night than I remember doing in my twenties, but I also work late and eat and drink before I go to bed, which may be some of it.

When I was younger (probably at least 15 years ago) I could "bare down" when urinating (like a
Valsalva maneuver https://en.wikipedia.org/wiki/Valsalva_maneuver) and increase the speed of my urine stream. However, now and probably for the last 15 years, if I try to do this when urinating there is no increase in the speed of my stream. I still have a good stream and good flow, but I just cannot make it go faster. Something must have changed. The urologist said it was probably just due to aging and the fact that the prostate naturally gets larger with age, but my 71 year old father says he can still do it. 

Thanks for replying DDye.
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 Posted 11/11/2013 4:37:37 AM
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Forty-six years old is not an uncommon age to develop prostate enlargement and it is also common that a father and son's health experiences differ. 

www.drugs.com is a good source for information concerning any of the pharmaceuticals you need information on.  For Keflex, see http://www.drugs.com/pro/keflex.html for the section that provides information for professionals, which is more complete than that which is addressed to the lay person.  A reduction in protective probiotics is a possible side effect of any antibiotic, but the result is often an increase in fungal growth (candidiasis).  Did your physician order a culture?


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 Posted 11/12/2013 3:43:01 PM
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Both doctors I saw tested my Urine, if that can be considered a culture.

I have been taking one "Ultimate Flora" Probiotic capsule from "renew life" every day, usually sometime in-between the two cipro pills I take per day.

Back around 1995, I went to the doctor because I was having sharp stabbing pains in my navel that went downward to my groin and sometimes to the end of my penis. The doctor tested my blood and urine (which were fine) and came to the conclusion that it was either a prostate infection or a spastic bowel. In 1995, the doctor said that my prostate was normal in size and felt normal. However, I was prescribed sulfa, which I think I reacted to, then I was put on cipro and I think I was switched to bactrim because the cipro gave me diarrhea. I was only on the antibiotics for a couple of weeks. I did not have any urination problems at that time (other than I was going frequently) , and felt it was probably a spastic bowel brought about by stress. The problem seemed to go away, and the doctor said it was not serious, but we never came to a conclusion as to exactly what it was.

Is it possible I had some sort of low-grade prostate infection back in 95 that my body somehow kept in check untill this recent flare-up ? 

Hopefully I will go back in one month and everything will be fine. Even if that is the case, I will be taking something to help prevent BPH, perhaps the flower pollen. This was too much of an unpleasant experience to not try to prevent.  I may well make some changes to my diet even if it means giving up some things I like. I have already repalced milk with soy-milk.
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 Posted 11/12/2013 4:29:47 PM
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A urinalysis is not the same as a bacterial culture which identifies the type of microorganisms present.
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 Posted 11/19/2013 4:47:36 PM
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I think I will try either Source Naturals Swedish Flower Pollen capsules or Graminex PollenAid, which I think used to be cernilton. I have listed the supplement facts on both the supplements below. Is one capsule of the the Graminex PollenAid actually stronger than three capsules of the source naturals product ?  If one capsule of the pollenaid is as effective or more effective than three of the source natural capsules, then the pollenaid would be the better deal. Does anyone have any experience with either of these supplements ?

Thanks
John

Source Naturals iherb link:
http://www.iherb.com/Source-Naturals-Swedish-Flower-Pollen-90-Tablets/1422#p=1&oos=1&disc=0&lc=en-US&w=flower%20pollen&rc=103&sr=null&ic=1


PollenAid iherb link:
http://www.iherb.com/Graminex-PollenAid-90-Capsules/12029




Source Naturals Supplement Facts:
Supplement Facts Serving Size: 3 Tablets Servings Per Container: 30
Suggested Use


3 tablets daily for first three months. May take 2 to 3 tablets daily after three months, for maintenance. For best results, spread serving throughout the day, at breakfast and dinner. Amount Per Serving %DV Total Carbohydrate 1 g <1%* Calcium 68 mg 7% Swedish Flower Pollen Standardized Extract (yielding 1.4% alpha-amino acids and 0.08% phytosterols) 378 mg † *Percent Daily Values (%DV) are based on a 2,000 calorie diet.
†Daily Value not established.

PollenAid Supplement Facts:
Supplement Facts Serving Size: 1 Capsule Servings per Container: 90
Suggested Use


As a dietary supplement take 1 capsule, 3 times daily before meals with a glass of water. Amount Per Serving % Daily Value Graminex G63 Flower Pollen Extract
Concentrated Pollen Extract (Secale Cereale L.) (Standardized Extract 20:1) ; (G60:GFX) 500 mg * *Daily Value (DV) Not Established.
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 Posted 12/1/2013 12:35:57 AM
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John2004
The Dec 13 issue of LEF magazine is entirely dedicated to prostate health, it is a good read!
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